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Adult day services

Page posted: 10/1/03

Page reviewed: 11/14/16

Page updated: 11/14/16

Legal authority

Federally approved BI, CADI, DD and EW waiver plans, Alternative Care (AC) program (Minn. Stat. §256B.0913), Minnesota Statutes, Chapter 245A, Minn. R. 9555.9600-9730

Definition

Adult day services: Individualized program of activities designed to meet the health and social needs of a person age 18 or older who has a functional limitation and needs supervised care outside of his or her residence during the day.

If a person receives family adult day services, see CBSM – FADS.

Covered services

Adult day services cover:

  • • Activities
  • • Assistance
  • • Care
  • • Supervision
  • • Training.
  • These services must:

  • • Be based on the person’s assessed needs
  • • Provide the supports necessary either to maintain or improve the person’s ability to care for him or herself
  • • Offer opportunities to participate in community groups (e.g., senior citizen centers or clubs, generic service organizations, adult education)
  • • Provide age-appropriate tasks and materials
  • • Provide community integration opportunities to enhance the person’s social and physical interaction with people without disabilities
  • • Be directed toward the achievement of specific outcomes identified in the person’s support plan.
  • Non-covered services

    Adult day services do not cover:

  • • Therapies
  • • Transportation costs.
  • Secondary information

    Frequency

    A person cannot receive adult day services for more than 12 hours in one 24-hour period.

    AC and EW

    Under the AC and EW programs, a person must receive adult day services for two or more hours per day, for one or more days per week on a regularly scheduled basis.

    Meals and snacks

    Among other legislative requirements, the adult day services provider must offer a mid-morning and mid-afternoon snack. If a person receives adult day services for more than four and a half hours, the provider also must serve him or her a meal that meets the requirements in Minn. R 9555.9710, subp 1.

    Provider standards and qualifications

    Adult day services are tier 1 services. An adult day services provider must enroll with DHS as a Minnesota Health Care Programs (MHCP) provider. For more information, see CBSM – Waiver/AC provider enrollment and standards.

    Eligible providers

    AC and EW

    Under the AC and EW programs, the following providers may provide adult day services:

  • • Adult day service center (i.e. a non-residential setting licensed to provide adult day services)
  • • Board and care setting
  • • Hospital
  • • Nursing facility.
  • BI, CADI and DD

    Under the BI, CADI and DD waivers, the following providers may provide adult day services:

  • • Adult day service center (i.e. a non-residential setting licensed to provide adult day services)
  • • Hospital
  • • Medical clinic
  • • Nursing facility.
  • License requirements

    An adult day services provider must have an adult day services license under Minn. R. 9555.9600 to 9730 and Minnesota Statutes, Chapter 245A.

    Exemption for AC and EW only

    The following exemption applies only to the AC and EW programs: A nursing facility, hospital, or board and care setting that serves five or fewer people who are not residents or patients in the setting are exempt from the adult day services license requirement (Minn. R. 9555.9610, subp. 2).

    Authorization, rates and billing

    Below is program-specific authorization, rate and billing information for adult day services. For more information, see Long-Term Services and Supports (LTSS) Service Rate Limits, DHS-3945 (PDF).

    AC and EW

    Under the AC and EW programs, the lead agency authorizes adult day services at the state-established, 15-minute rate.

    BI, CADI and DD

    Under the BI, CADI and DD waivers:

  • • Adult day services are framework services. The lead agency uses the Rate Management System (RMS) to determine rates. For more information, see CBSM – Rate Management System.
  • • The lead agency may authorize adult day services at a daily or 15-minute rate. Exception: On a day when the person receives an adult day services bath, the lead agency must authorize adult day services using the 15-minute rate.
  • Additional resources

    CBSM – Adult day services bath
    CBSM – Family adult day services

    CBSM – Waiver general process and procedures (BI, CAC, CADI, DD)

    CBSM – Waiver programs overview

    CBSM – Waiver/AC provider enrollment and standards
    Rate Management System (RMS) User Manual

    For a list of licensed adult day services providers in Minnesota, visit:

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    Updated: 11/18/16 1:10 PM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 11/18/16 1:10 PM